Themes Materials for Group Prenatal Pregnancy
Contra Costa County Health Services 12/2009
Each session has a packet including a cover page stating the themes and a place to write questions, a page for a self-assessment of some sort, and a few pages on each theme. Each participant will be given a folder to keep them all in, and will be given a packet at each session, and the “introduction” packet at the first session she attends. There are 10 session packets, and an introduction packet. We also plan special to develop special packets for baby shower, and art projects (plaster casts, baby slings, clay birth objects), and movement and meditation suggestions.

Spanish Binder (PDF Version)

Abbreviations and copyright status for materials sources:
•S2T Steps to Take - used with permission from the California Department of Health Services.
•KO Krames Online – licensed for use by Contra Costa County Health Services, copyright by the StayWell Company.
•CHI Centering Healthcare Institute – original adaptations of credited copyrighted materials.
Materials without source credits are original.

INTRODUCTION:

(special packet for first session and all new participants)
Pages:
(Book plate, “This book belongs to:”)
Cover page with photo and title
Phone number list (for all sites)
Calendar – 2010, 2011
What is Centering and how to participate
Group participation consent (2 copies)
Photo consent (2 copies)
Copy of daily visit page of prenatal record
(Additional custom page for specific group with names of staff, contact numbers and group dates if wanted)

SESSION 1: 10-16 weeks

Themes:
What is Centering and How to Participate
Discomforts
Danger Sign Recognition

Pages:
Themes/Questions list
SAS: Important points in Prenatal Care – a survey of topic of interest to participants
SAS: Prenatal Discomforts
Summary of Common Discomforts (CHI-2)
S2T NUTR 33-34 Nausea: Tips that Help
Danger Signs (S2T HE9-10)
(not included: KA - Comfort Tips)

Staff Notes:
*Provide additional page with introduction packet with names of staff for this group, contact numbers, and dates of group.
*Play name and introduction games
*Set up sign-in sheet
*Make copies of both consent form and photo consent form, file original in chart correspondence section, the copy in staff folder for group.
*Save roster and attendance sheet in staff folder every week.
*Collect “Important Points SAS” and review
Photograph group members, make composite to give them.
Organize lottery of flea market for incentives

SESSION 2: 14-20 weeks

Themes:
Nutrition
Exercise: Kegels, Back Care and Pelvic Tilts
Antepartum Screening

Pages:
Themes/Questions list
SAS: Draw how it feels to be pregnant
Select Healthy Foods (S2T)
Get the iron you need (S2T NUTR 62, 64)
Foods rich in calcium (S2T NUTR 37,38)
Don’t get sick from the foods you eat (S2T NUTR 101,103)
Lower your chances of eating food with unsafe chemicals (S2T NUTR 105, 106)
Pelvic Tilts and Kegels: S2T HE 71-74
Pregnancy: how to plan your program of exersize (KO)
Sheet on California Prenatal Detection Program (original)

Staff Notes:

SESSION 3: 18-24 weeks

Themes:
Thinking about breastfeeding
Fetal Development
Tobacco, Drugs and Alcohol
Dental Care
Sexuality
Gestational Diabetes

Pages:
Themes/Questions list
SAS: Thinking about breastfeeding (CHI3)
Benefits of Breastfeeding (State Health Dept.)
Fetal Development (KO Pregnancy, your First, Second and Third Trimester Changes)
You can quit smoking S2T HE 85-86
When you want to stop using drugs or alcohol S2T HE
Keep your teeth Healthy (S2T HE 58-59)
List of Dental Referrals (original)
Sexuality (original)
What is Gestational Diabetes? (KO)

Staff Notes:
These are a lot of topics. The primary discussion should probably be “thinking about breastfeeding” and “sexuality”.
The other material is mostly for their information, and to prompt mentioning the following:
•The importance of stopping tobacco, drugs and alcohol, and good dental hygiene, and the resources available to help.
•That we will screen for GDM at the next session, why, and how to prepare for the screen.
Short clips from 2 inexpensive English videos are fun for fetal development:
•National Geographic “In the Womb” Chapter 9 and 10 (affect of music, foods and REM sleep on fetus.
•NOVA “The Miracle of Life” Chapter 6 (2-10 week embryo), 7 (10w-term)

SESSION 4: 22-28 Weeks

Themes:
Relaxation and Stress Reduction
Labor and Preterm Labor Recognition
Delivery Hospital Options

Pages:
Themes/Questions list
SAS: Relaxation Methods (CHI3)
Time to go to the hospital (S2T)
Signs of preterm labor (S2T HE 17)
What is GDM (KO)
Labor and Birth – your body prepares (KO)
The beginning of labor (KO)

Staff Notes:
Remind women to bring MediCal cards next session to copy for hospital registration.
Many will probably need glucola tests this session.

SESSION 5: 24-30 Weeks

Themes:

Relaxation in labor and delivery
Analgesia and Epidurals
C-Sections, VBACS
Birth Plan, and Advice for companions
Hospital Registration / Complete hand-carried record

Pages:
Themes/Questions list
SAS: Methods to be comfortable in labor (CHI-6)
SAS: Draw the feeling of Delivery
Techniques of Relaxation During Labor Labor and Delivery(?)
Anaesthesia and Epidurals (KO)
C-Sections, VBACs (KO)
Birth Plan (original)
Advice for Support People (original)

Staff Notes:
*Have patients complete birth plan and take to hospital
*Complete hospital registration. For Alta Bates patients, this involves copying boths sides of signed white MediCal card.
*Complete purple hand carried record for Alta Bates patients

SESSION 6: 26-32 Weeks

Themes:
Contraception
STD Prevention

Pages:
Themes/Questions list
SAS: How do I stay safe and sound? (CHI-4)
Contraceptive options (reproductive access.org)
What are STDs? (KO)

Staff Notes:

SESSION 7: 28-34 Weeks

Themes:
Domestic Violence
Discuss choice of doctors and insurance for the baby, and mother post-partum
Car seats

Pages:
Themes/Questions list
SAS: The Family (CHI-3)
SAS: Draw a family portrait (original)
Cycle of Violence (S2T)
Violence Wheel (Duluth Domestic Violence Intervention Project)
STAND – 6 pages of info from and about.
Info on car seats (KO)
Invitation to bring your baby to your Family Practitioner’s pediatric practice (original)
Info on signing up for MediCal and pediatric and post-partum care. (original)

Staff Notes:
The Agree Disagree cards and paddles from CHI work well for this topic.
Talk about planning baby shower and art projects if interested.

SESSION 8: 30-36 Weeks

Themes:
Breastfeeding - how to
Preparation of Siblings
Post-partum Depression
Discuss Group B Strep testing

Pages:
Themes/Questions list
SAS: Family Support and Decisions (CHI-7)
Breastfeeding basic how (KO)
Sibling prep (original)
Post-partum depression (KO)
GBS testing (KO)

Staff Notes:
Look at what appointments are needed between sessions, and after the series is over and schedule them.

SESSION 9: 32-38 Weeks

Themes:
Baby Care
•danger sign recognition
•safe sleep position
•safe bathing, safe feeding, accident prevention, safe discipline, child abuse prevention, circumcision

Pages:
Themes/Questions list
SAS: Program eval, (CHI 6&10)
Postnatal: When to call the Doctor (Danger sign recognition) (KO)
Basic precautions safe baby care (original)
Putting to sleep (KO)
Bathing (KO)

Staff Notes:
Collect patient program eval. and keep in folder for group.
Look at what appointments are needed between sessions, and after the series is over and schedule them.
Birth stories if there are any.
Discuss ending the group, follow-up plans, distributing current phone list.

SESSION 10: 34-40 Weeks

Themes:
Baby massage
Colic
Baby games
Ending group / thinking of future

Pages:
Themes/Questions list
SAS: Personal Eval (CHI 8, 9 and 10)
Baby massage (crecebebe.com)
Colic (KO)
Baby games (cosasdelinfancia.com)

Staff Notes:
Birth stories if there are any.
Discuss ending the group, follow-up plans, distributing current phone list.

SPECIAL PACKETS


PLANNED SPECIAL PACKET ON BABY SHOWER
Planning a baby shower
Page on options for gifts
Page on options food
Page on options games

PLANNED SPECIAL PACKET ON ART PROJECTS
Cover: Art Projects for Prenatal Groups
Page on clay items
Page on plaster casts
Page on baby slings
Page on Collages

PLANNED SPECIAL PACKET ON MEDITATION:
Natasha’s meditations
Joanna’s meditations
Arturo’s meditations
Gina McCarthy’s meditations
Nancy Bardake’s meditations
African song for child meditation







This page has been edited 8 times. The last modification was made by - drshah05 drshah05 on Oct 24, 2010 6:14 pm